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      Experiences of Māori of Aotearoa New Zealand's public health system: a systematic review of two decades of published qualitative research

      Graham, Rebekah Sarah; Masters-Awatere, Bridgette
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      1753-6405.12971.pdf
      Published version, 145.4Kb
      DOI
       10.1111/1753-6405.12971
      Link
       10.0.4.87
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      Graham, R. S., & Masters-Awatere, B. (2020). Experiences of Māori of Aotearoa New Zealand’s public health system: a systematic review of two decades of published qualitative research. Australian and New Zealand Journal of Public Health. https://doi.org/10.1111/1753-6405.12971
      Permanent Research Commons link: https://hdl.handle.net/10289/13619
      Abstract
      Objective: This paper aims to synthesise the broader perspectives of Māori patients and their whānau (extended family, family group) of their treatment within the public health system. Our research question was ‘What are the experiences of Māori in the public health and/or hospital system in Aotearoa New Zealand?’ Methods: A systematic search using PRISMA protocols and reflexive typology organised around the categories of Māori, public healthcare and qualitative research identified 14 papers that covered all three categories. We undertook a qualitative metasynthesis on these papers using a critical community psychology approach. Results: Māori patients and whānau from the included papers mention both barriers and facilitators to health. We categorised barriers as organisational structures, staff interactions and practical considerations. Facilitators were categorised as the provision of whānau support in the form of practical assistance, emotional care and health system navigation. Conclusions: For many Māori, the existing public health system is experienced as hostile and alienating. Whānau members provide support to mitigate this, but it comes as a cost to whānau. Implications for public health: Public health providers must find ways to ensure that Māori consistently experience positive, high-quality healthcare interactions that support Māori ways of being.
      Date
      2020
      Type
      Journal Article
      Publisher
      Wiley Open Access
      Rights
      © 2020 The Authors

      This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
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